NPIMap

Organization Active NPI

Tankersley Chiropractic Clinic P.C.

  • Chiropractor
  • Cullman, AL
National Provider Identifier
1992841266
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1052 Issued in AL
Legal business name
TANKERSLEY CHIROPRACTIC CLINIC P.C.
Practice address
2015 Cherokee Ave SW
Suite B
Cullman, AL 35055-5552
Phone
(256) 737-9999
NPI assigned
Jan 30, 2007
Organization subpart
Yes
Parent organization
TANKERSLEY CHIROPRACTIC CLINIC P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Philip Glenn Tankersley, D.C.NPI 1619060779
Title
Owner / Doctor
Phone
(256) 737-9999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1052 AL Primary

Addresses

Primary practice location

2015 Cherokee Ave SW
Suite B
Cullman, AL 35055-5552

Mailing address

2015 Cherokee Ave SW
Suite B
Cullman, AL 35055-5552
Phone (256) 737-9999

Other names 1

  • Tankersley Chiropractic Clinic P. C. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120320000237 AL Part B Supplier - Clinic/Group Practice 6305006958 Receives reassigned benefits from 2 practitioners
Practice locations: Cullman, AL

National Provider Directory

National Provider Directory
Tax ID family
Tankersley Chiro Clinic2 organizations share this tax ID, including this one
Part of
Tankersley Chiro Clinic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1992841266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 CHEROKEE AVE SW",
            "address_2": "SUITE B",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555552",
            "telephone_number": "256-737-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 CHEROKEE AVE SW",
            "address_2": "SUITE B",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555552",
            "telephone_number": "256-737-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANKERSLEY CHIROPRACTIC CLINIC P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TANKERSLEY CHIROPRACTIC CLINIC P.C.",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "TANKERSLEY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER / DOCTOR",
        "authorized_official_telephone_number": "256-737-9999",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tankersley Chiropractic Clinic P. C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.